CII TerminalCare Infrastructure Intelligence · model v1.2
pilot · 57,911 facilities
LIVE SIGNALS
ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)ENFWE CARE PROVIDER, PLLCTX · 2026-08-04 · HHSC: closure noticeENFAXIS HEALTHCARE LLCTX · 2026-08-04 · HHSC: ENFORCEMENT ACTION PENDENFCENTEX CAREGIVERS LLCTX · 2026-08-01 · HHSC: closure noticeENFPROVIDENCE PERSONAL ASSISTANCE SERVICES INCTX · 2026-07-31 · HHSC: closure noticeENFSWIFT RESPONSE INCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFRGV GUARDIANS OF CARE LLCTX · 2026-07-31 · HHSC: ENFORCEMENT ACTION PENDENFDOVE HOSPICE CARE LLCTX · 2026-07-28 · HHSC: closure noticeENFCHRIST HOME CARE LLCTX · 2026-07-24 · HHSC: closure noticeENFAMOR CURA PHC LLCTX · 2026-07-24 · HHSC: closure noticeENFKINDER HEALTHCARE SOLUTIONS LLCTX · 2026-07-20 · HHSC: closure noticeENFSUPREME TOUCH HEALTHCARE SERVICES LLCTX · 2026-07-20 · HHSC: closure noticeENFSAMNENAA CARE, INCTX · 2026-07-19 · HHSC: closure noticeENFINDEPENDENCE CARE OF TEXAS LLCTX · 2026-07-18 · HHSC: ENFORCEMENT ACTION PENDENFLA FAMILIA DEL PASO INCTX · 2026-07-10 · HHSC: closure noticeMOVECrouse Community Center Inc+98.5NY · composite 0.0 → 98.5MOVEHOME INSTEAD-92.9FL · composite 98.3 → 5.4MOVEHOMEWELL CARE SERVICES-92.0FL · composite 98.3 → 6.3MOVEHOME INSTEAD-90.9FL · composite 97.2 → 6.3MOVEHOME HEART FLORIDA-90.3FL · composite 97.7 → 7.4MOVEVITALCARING GROUP-87.7FL · composite 98.1 → 10.4MOVESENIOR CARE SOLUTIONS-87.6FL · composite 90.6 → 3.0MOVERIGHT AT HOME-85.6FL · composite 93.8 → 8.2EXITSCANDINAVIAN HOME INC54.7%RI · p(termination 12m)EXITBEADLES NEW BEGINNINGS37.9%OK · p(termination 12m)EXITBlue Valley Lutheran Nursing Home36.5%NE · p(termination 12m)EXITPRESBYTERIAN HOME FOR CENTRAL NEW YORK INC35.1%NY · p(termination 12m)CHOWBEARTOOTH REHABILITATION AND NURSING LLC76.9%MT · p(sale 12m)CHOWStonehaven Senior Living39.4%CA · p(sale 12m)CHOWAvoyelles Manor Nursing Home31.6%LA · p(sale 12m)CHOWKIT CARSON NURSING & REHABILITATION CENTER30.5%CA · p(sale 12m)
AS OF 2026-08-05 23:34 UTC
Screener / 165352
B

Emmetsburg Care Center

snfIA
2405 21st Street, Emmetsburg, IA 50536 · CCN 165352 · chain DOROS GENERATION TRUST U A D 1 3 12
Composite
43.9 / 100 percentile
Peer group
snf n = 14,684
Evidence depth
deep
Certified beds
46
Model
v1.2
Reads as: riskier than 43.9% of the 14,684 facilities in the snf peer group. percentile within peer group, 100 = highest risk. Grade bands are fixed percentile cuts (F is the top 5% of peer risk), so a grade is a position, not an absolute level.
Score model5ML signals4Components16CHOW radar1Distress radar1Staffing16Penalties1Deficiencies14Licensure0Ownership76Related party6Transactions1Comps12Market rent32

Composite explanation

5
ComponentPercentileRawWeightWeight shareContributionCounts
regulatory risk69.864.70.300.230816.11in index
staffing risk72.972.90.250.192314.02in index
financial risk39.339.20.300.23089.07in index
chow risk60.659.30.150.11546.99in index
billing conduct0.00.00.300.23080.00in index
weighted_contribution sums to pre_rank_index over rows where counts_toward_index is true. The composite is the facility's percentile position of that index within its peer group, so contributions explain the input, and the rank explains the score.

ML signals — parallel engine

4
KindFindingSignalSubjectFirst seen
connectionOwner fleet risk far above national+31.4 vs natlGPN FAMILY TRUST U A D 4 28 0874 facilities
connectionOwner fleet risk far above national+26.2 vs natlLEGACY HEALTHCARE FINANCIAL SERVICES LLC79 facilities
connectionOwner fleet risk far above national+24.2 vs natlSHABAT MENACHEM85 facilities
connectionOwner spans multiple chains5 chainsRAJCHENBACH CHAIM49 facilities
Findings from the always-on scanning layer: anomalies on this facility, connections through its current owners and past buyers. Runs beside the deterministic composite, never inside it. Full board on the ML Lab page.

Component scores and registry models

16
Score typeScoreGradeModelStatusRegistry model notes
billing conduct0.0Av0.1-pacpuf-snfdefault · in compositeR22. PAC PUF SNF 2023. PDPM coding intensity vs acuity, stay length, charge markup.
chow risk25.0Bv0.1-posdefault · in compositeChange-of-ownership footprint in the CMS Provider of Services file: control-family, legal-name and address deltas across quarterly snapshots, plus certification reset recency and Medicare tenure.
chow risk93.6Fv0.6default · in composite
financial risk39.2Bv0.5default · in compositeR18.
p adverse action 12m0.1—v0.1default · in compositeR23/W4-3. Deterministic logistic p(Medicare termination within 12m), SNF only. Label = first POS termination date (any code: voluntary closure, involuntary termination, merger exit); facilities already terminated by the panel date are excluded, not counted as safe. Trained on panels 2024-07/2024-10/2025-01 (n=46,466, 283 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.971, top-decile lift 9.5x, top-decile capture 95.4% of the 65 terminations that followed. Separability is high because closures announce themselves in the data: collapsing occupancy is the strongest signal, and the learned NEGATIVE weight on 12m deficiency counts is the surveys-stop signature of a facility winding down, not a claim that clean inspections are dangerous. Same 15 as-of-date features and anti-leakage chassis as p_chow_12m; SFF entry rejected as a label (only one month of SFF history exists, so as-of transitions cannot be reconstructed). Score = probability x 100; grade NULL. Not in any composite.
p chow 12m0.0—v0.1default · in compositeR22/W4-2. Deterministic logistic p(CHOW within 12m), SNF only. Trained on panels 2024-07/2024-10/2025-01 (n=50,700, 1,207 positives), evaluated on the held-out later panel 2025-04 BEFORE shipping: AUC 0.874, top-decile lift 5.0x (top 10% of predictions captured 49.6% of the CHOWs that actually closed in the next 12 months). Shipped coefficients are the evaluated ones; no post-holdout refit. Caveat: holdout positives (133) run below the training base rate because recent CHOWs surface in public records with a lag, so measured lift is conservative. Features are as-of-date public records: PBJ staffing level/trend/contract share (quarterly history to 2022Q1), deficiency and CMP counts (12m), ownership tenure and churn from CHOW-evidenced transactions, beds, occupancy, ownership type, chain size. Chain membership and ownership type are current-state (history not published). SFF and star ratings deliberately excluded (no as-of history). Notable learned direction: long ownership tenure RAISES sale odds and a recent prior CHOW lowers them. Score = probability x 100; grade is NULL because a probability is not a quality letter. Not in any composite.
regulatory risk64.7Cv0.3default · in compositeDeficiency-based, SNF population. Runs alongside v0.5-pos.
staffing risk72.9Dv0.3default · in compositeCost-report staffing, SNF population. Runs alongside v0.4-pos, which covers ICF/IID from POS.
financial risk85.9Fv0.1supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk65.9Dv0.2supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk32.9Bv0.3supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
financial risk45.4Cv0.4supersededPre-registry model iteration, superseded by a later financial_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk64.6Cv0.1supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
regulatory risk64.6Cv0.2supersededPre-registry model iteration, superseded by a later regulatory_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk72.9Dv0.1supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
staffing risk72.9Dv0.2supersededPre-registry model iteration, superseded by a later staffing_risk rebuild. Rows retained for audit per project convention (see regulatory_risk v0.4-pos); never consumed because v_cii_api_facility_score and the composite eligibility join both require status = default. Backfilled 2026-07-26 by alert triage on model_registry_integrity.
Rows with counts_toward_composite false come from models that are addressable or retracted rather than default. They exist and may be informative, but they did not enter the published composite and must not be summed as though they had.

CHOW radar — 12-month sale probability

full board →
p(CHOW, 12m)
0.0%
model v0.1 · computed 2026-07-29
Percentile among SNFs
1.1
100 = most likely to sell
Holdout AUC
0.874
evaluated before shipping, never refit
DriverValuePull on odds
Current owner tenure (years)1.95-1.66
Never sold on record0.00-1.62
Ownership changes, last 5 years1.00-0.87
For-profit ownership1.00+0.69
Occupancy0.90-0.57
No PBJ staffing report0.00+0.42
Chain size (log)1.10-0.17
Contract staffing share0.15+0.14
p_adverse_action_12m: probability the facility's Medicare participation terminates within 12 months (any POS termination code; already-terminated facilities are excluded, not scored safe). Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.971, top-decile lift 9.5x. Closures announce themselves: collapsing occupancy dominates, and fewer recent surveys is a winding-down signature. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models. | p_chow_12m: probability of a change of ownership within 12 months. Deterministic logistic over as-of-date public records, SNF only. Holdout (2025-04 panel, evaluated before shipping): AUC 0.874, top-decile lift 5.0x. inputs.features holds raw feature values, inputs.contributions each feature's standardized pull on the log-odds. Predictions never enter the composite. See /v1/models for full notes.

Distress radar — 12-month termination probability

full board →
p(termination, 12m)
0.1%
model v0.1 · computed 2026-07-29
Percentile among SNFs
56.1
100 = most likely to lose certification
Holdout AUC
0.971
top decile caught 95% of actual exits
DriverValuePull on odds
Deficiencies, last 12 months2.00+1.06
For-profit ownership1.00-0.69
Occupancy0.90-0.62
Chain size (log)1.10+0.56
No PBJ staffing report0.00+0.39
Never sold on record0.00-0.28
Current owner tenure (years)1.95-0.27
Ownership changes, last 5 years1.00+0.23
Probability the facility's Medicare participation ends within 12 months, from public records only. Red bars raise exit odds. A negative pull from deficiencies is the winding-down signature — surveys stop as a facility empties — not evidence that clean inspections are dangerous.

Staffing vs peers

16
2025Q4 HPRDThis facilityIA medianNational medianNational p25–p75
Total nurse2.943.153.282.90–3.77
RN0.440.460.390.25–0.58
Weekend total2.882.963.11—
Weekday total2.973.203.35—
QuarterDaysAvg censusTotal HPRDRNLPNCNAWeekendContract %
2025Q49241.22.940.440.242.262.8815.1%
2025Q39239.62.560.300.222.032.548.0%
2025Q29142.72.850.450.242.162.769.1%
2025Q19038.63.050.520.342.193.019.2%
2024Q49237.82.690.400.551.732.6715.3%
2024Q39237.32.730.470.351.912.635.3%
2024Q29135.22.850.370.491.992.710.0%
2024Q19132.33.040.430.572.053.030.0%
2023Q49226.63.410.660.572.183.230.0%
2023Q39231.52.900.610.491.802.670.0%
2023Q29127.13.310.660.532.122.930.0%
2023Q19027.53.460.610.732.133.020.0%
2022Q49228.83.250.460.752.042.770.0%
2022Q39230.73.220.400.712.122.877.9%
2022Q29134.13.160.370.712.082.8227.1%
2022Q19032.82.820.460.611.752.659.6%
HPRD is census-weighted: total hours over the quarter divided by total resident-days, not an average of daily ratios. Source is CMS Payroll-Based Journal daily records; only SNFs report PBJ, so other settings legitimately return zero rows.

Penalties

1
DateTypeFineSource
2025-07-28Fine$25,695CMS provider data
Total fines on record: $25,695

Deficiencies

14
D × 10E × 2G × 1J × 1
deficiencies by survey year
74242526
SurveyTypeTagDeficiencyScopeCorrected
2026-01-08Health · complaintF0658Ensure services provided by the nursing facility meet professional standards of quality.D2026-01-20
2026-01-08Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2026-01-20
2025-07-28HealthF0686Provide appropriate pressure ulcer care and prevent new ulcers from developing.D2025-08-15
2025-07-28HealthF0689Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents.G2025-08-15
2025-07-28HealthF0803Ensure menus must meet the nutritional needs of residents, be prepared in advance, be followed, be updated, be reviewed by dietician, and meet the needs of the resident.E2025-08-15
2025-07-28HealthF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.J2025-08-15
2025-07-28HealthF0812Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.E2025-08-15
2025-07-28HealthF0880Provide and implement an infection prevention and control program.D2025-08-15
2025-02-20Health · complaintF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2025-03-20
2024-09-12Health · complaintF0604Ensure that each resident is free from the use of physical restraints, unless needed for medical treatment.D2024-10-04
2024-09-12HealthF0656Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.D2024-10-04
2024-09-12Health · complaintF0677Provide care and assistance to perform activities of daily living for any resident who is unable.D2024-10-04
2024-09-12HealthF0684Provide appropriate treatment and care according to orders, resident’s preferences and goals.D2024-10-04
2024-09-12Health · complaintF0805Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs.D2024-10-04
scope_severity uses the CMS letter grid: A is least serious, L most. J, K and L are immediate jeopardy. Rows are the surveyor's findings of record, not the model's opinion.

Licensure actions

0
No licensure actions on record for this facility. Absence of a record here means the sources CII ingests contain none, not that none exists anywhere.

Ownership

76
OwnerRolePctFromStatusSource
CASCADE CAPITAL HOLDINGS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST100%2024-08-15currentpecos_ownership
BEASLEY, KARLAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
BEHOUNEK, LINSEYADP OF THE SNF—2024-08-15currentpecos_ownership
BORCHERDING, JENNYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
BURKEN, SHERIADP OF THE SNF—2024-08-15currentpecos_ownership
CASCADE CAPITAL PARTNERS LLCADP OF THE SNF—2024-08-15currentpecos_ownership
CCG GORGONA LLCADP OF THE SNF—2024-08-15currentpecos_ownership
EMMETSBURG IA PROPERTY HOLDINGS, LLCADP OF THE SNF—2024-08-15currentpecos_ownership
FRIEDENBERG, LAURAADP OF THE SNF—2024-08-15currentpecos_ownership
FRIEDMAN, BRIANTRUSTEE OF THE SNF—2012-01-03currentpecos_ownership
GORGONA HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
GORGONA PROPCO HOLDINGS LLCADP OF THE SNF—2024-08-15currentpecos_ownership
GORGONA SUB HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
GPN FAMILY TRUST U/A/D 4/28/08ADP OF THE SNF—2025-02-28currentpecos_ownership
HEDBERG, JENNIFERADP OF THE SNF—2024-08-15currentpecos_ownership
HENNAGER, CHRISTINAADP OF THE SNF—2024-08-15currentpecos_ownership
HEYING, LARINAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
HOUSTON, MINDYADP OF THE SNF—2024-08-15currentpecos_ownership
JAEGER, KRYSTLEOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
KAMSTRA, LEEADP OF THE SNF—2024-08-15currentpecos_ownership
KNUTSON, MICHELEADP OF THE SNF—2024-08-15currentpecos_ownership
LARSON, MELISSAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
LEGACY HEALTHCARE FINANCIAL SERVICES LLCOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
MCCLURE, DOROTHYADP OF THE SNF—2024-08-15currentpecos_ownership
MN8 RH HOLDCO LLCADP OF THE SNF—2024-08-15currentpecos_ownership
OTTERBECK, PATRICIAADP OF THE SNF—2024-08-15currentpecos_ownership
RAJCHENBACH, AVRUMTRUSTEE OF THE SNF—2008-04-28currentpecos_ownership
RAJCHENBACH, CHAIMOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
RAJCHENBACH, RIVKATRUSTEE OF THE SNF—2008-04-28currentpecos_ownership
RUNKSMEIER, DAWNADP OF THE SNF—2024-08-15currentpecos_ownership
SCOTT, KATHLEENOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
SEU, JOSHUAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
SHABAT, AHUVATRUSTEE OF THE SNF—2012-01-03currentpecos_ownership
SHABAT, MENACHEMCORPORATE OFFICER—2024-08-15currentpecos_ownership
SHEAR, KILEYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
STAUDT, SANDRAADP OF THE SNF—2024-08-15currentpecos_ownership
THAYER, KAYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
VAN VEGHEL, ELIZABETHADP OF THE SNF—2024-08-15currentpecos_ownership
WIERSCHEM, BOBBIEADP OF THE SNF—2024-08-15currentpecos_ownership
WOOD, ROSEMARYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
WRIGHT, AMYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15currentpecos_ownership
IOWA PORTFOLIO OPCO HOLDINGS LLC5% OR GREATER DIRECT OWNERSHIP INTEREST100%2024-08-15ended 2026-05-18pecos_ownership
OAKWAY OPERATIONS LLC5% OR GREATER INDIRECT OWNERSHIP INTEREST23%2024-08-15ended 2026-05-18pecos_ownership
DOROS GENERATION TRUST U/A/D 1/3/125% OR GREATER INDIRECT OWNERSHIP INTEREST5%2024-08-15ended 2026-05-18pecos_ownership
AHUVA SHABATTRUSTEE OF THE SNF—2012-01-03ended 2026-05-18pecos_ownership
AMY WRIGHTOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
AVRUM RAJCHENBACHTRUSTEE OF THE SNF—2008-04-28ended 2026-05-18pecos_ownership
BOBBIE WIERSCHEMOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
BRIAN FRIEDMANTRUSTEE OF THE SNF—2012-01-03ended 2026-05-18pecos_ownership
CHAIM RAJCHENBACHOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
CHAIM RAJCHENBACH DESCENDANTS TR UA 04282008ADP OF THE SNF—2025-02-28ended 2026-05-18pecos_ownership
CHRISTINA HENNAGERADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
DAWN RUNKSMEIERADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
DOROTHY MCCLUREOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
ELIZABETH VAN VEGHELOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
JENNIFER HEDBERGADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
JENNY BORCHERDINGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
JOSHUA SEUOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KARLA BEASLEYOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KATHLEEN SCOTTOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KAY THAYEROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KILEY SHEAROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
KRYSTLE JAEGEROPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LARINA HEYINGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LAURA FRIEDENBERGOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LEE KAMSTRAOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
LINSEY BEHOUNEKOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MELISSA LARSONOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MENACHEM SHABATOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
MICHELE KNUTSONADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
MINDY HOUSTONOPERATIONAL/MANAGERIAL CONTROL—2024-08-15ended 2026-05-18pecos_ownership
PATRICIA OTTERBECKADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
RIVKA RAJCHENBACHTRUSTEE OF THE SNF—2008-04-28ended 2026-05-18pecos_ownership
ROSEMARY WOODADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
SANDRA STAUDTADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
SHERI BURKENADP OF THE SNF—2024-08-15ended 2026-05-18pecos_ownership
PECOS ownership and managing-control associations. Current edges have no end date in the source; historical edges are retained.

Transactions

1
Close datePriceBuyerSellerEvidence
2024-08-15—EMMETSBURG IA SKILLED NURSING FACILITY LLCABCM CORPORATIONchow

Comparable trades — IA snf

12
CloseFacilityPrice$/bedCap rateBedsBuyer
2025-09-01St Luke's Regional Medical Center SNF———20NORTHWEST IOWA HOSPITAL CORPORATION
2025-08-01Crystal Heights Care Center———72CANFIELD RIVER HEALTHCARE LLC
2025-06-01AMS Memorial-Greene———31AMS MEMORIAL-GREENE LLC
2025-02-05Chapters Living of Council Bluffs———102CHAPTERS COUNCIL BLUFFS OPCO LLC
2025-02-01Osage Rehab and Health Care Center———46OPCO OSAGE IA LLC
2025-02-01Iowa City Rehab & Health Care———89OPCO IOWA CITY IA LLC
2025-02-01Accura Healthcare of Creston———31ACCURA HEALTHCARE OF CRESTON LLC
2025-02-01Casa De Paz Health Care Center———71OPCO 19TH ST SIOUX CITY IA LLC
2025-02-01Pleasant Acres Care Center———46OPCO HULL IA LLC
2025-02-01Cedar Falls Health Care Center———70OPCO CEDAR FALLS IA LLC
2025-02-01Accura Healthcare of Onawa———46ACCURA HEALTHCARE OF ONAWA LLC
2025-02-01Grundy Care Center———40OPCO GRUNDY CENTER IA LLC
Most recent same-state, same-setting trades. Most CHOW-derived trades carry no disclosed consideration, so price, $/bed, and cap rate show only where a sale price was resolved from a deed or filing — blanks are honest, not missing data.

Market rent context

32
GeoKindBRAmountAs ofSource
county 19147acs median gross0$5572024-12-31CENSUS_ACS5
county 19147fmr0$6822025-10-01HUD_USER_FMR
county 19147acs median gross1$4852024-12-31CENSUS_ACS5
county 19147fmr1$7002025-10-01HUD_USER_FMR
county 19147acs median gross2$6692024-12-31CENSUS_ACS5
county 19147fmr2$9192025-10-01HUD_USER_FMR
county 19147acs median gross3$9122024-12-31CENSUS_ACS5
county 19147fmr3$1,2222025-10-01HUD_USER_FMR
county 19147fmr4$1,2272025-10-01HUD_USER_FMR
county 19147acs median gross$6382024-12-31CENSUS_ACS5
county 19147acs recent mover gross$6632024-12-31CENSUS_ACS5
zcta 50536acs median gross0$5572024-12-31CENSUS_ACS5
zcta 50536acs median gross1$4872024-12-31CENSUS_ACS5
zcta 50536acs median gross2$6982024-12-31CENSUS_ACS5
zcta 50536acs median gross3$9482024-12-31CENSUS_ACS5
zcta 50536acs median gross$6322024-12-31CENSUS_ACS5
zcta 50536acs recent mover gross$6552024-12-31CENSUS_ACS5
zip 50536payment standard 1100$7812025-10-01HUD_USER_SAFMR
zip 50536payment standard 900$6392025-10-01HUD_USER_SAFMR
zip 50536safmr0$7102025-10-01HUD_USER_SAFMR
zip 50536payment standard 1101$7922025-10-01HUD_USER_SAFMR
zip 50536payment standard 901$6482025-10-01HUD_USER_SAFMR
zip 50536safmr1$7202025-10-01HUD_USER_SAFMR
zip 50536payment standard 1102$1,0452025-10-01HUD_USER_SAFMR
zip 50536payment standard 902$8552025-10-01HUD_USER_SAFMR
zip 50536safmr2$9502025-10-01HUD_USER_SAFMR
zip 50536payment standard 1103$1,3862025-10-01HUD_USER_SAFMR
zip 50536payment standard 903$1,1342025-10-01HUD_USER_SAFMR
zip 50536safmr3$1,2602025-10-01HUD_USER_SAFMR
zip 50536payment standard 1104$1,3972025-10-01HUD_USER_SAFMR
zip 50536payment standard 904$1,1432025-10-01HUD_USER_SAFMR
zip 50536safmr4$1,2702025-10-01HUD_USER_SAFMR
ACS median gross rents and HUD FMR/SAFMR for the facility's county and ZIP. Context for underwriting, not facility pricing.
CII Terminal tearsheet · Emmetsburg Care Center (165352) · generated 2026-08-05 · every number derives from public records (CMS Care Compare, PBJ, POS, penalty and survey files, state licensure registers) · scores are published model outputs with holdout metrics disclosed at cii-terminal.vercel.app/transparency